权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Mental Health Survey in Primary Care

初级保健中的心理健康调查

基本信息

批准号：
04404038
负责人：
AOYAMA Hideyasu
金额：
$ 7.68万
依托单位：
Okayama University Medical School
依托单位国家：
日本
项目类别：
Grant-in-Aid for General Scientific Research (A)
财政年份：
1992
资助国家：
日本
起止时间：
1992 至 1994
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-04404038/
关键词：
Primary care Depression Mental health family Expressed emotion Schizophrenia

项目摘要

Mental health survey in primary careA questionnaire survey was conducted for depression in primary care. Subjects were 302 patients who visited primary care clinics during three days. A questionnaire consisted of Inventory to Diagnose Depression (IDD) and Dartmouth COOP Functional Health Assessment Charts. In 275 patients who responded satisfactorily, prevalence of major depression was 6 % according to Diagnostic and Satistical Manual of Mental Disorders, Third edition revised (DSM-III-R), and 13% for both major and minor depression. During 6-month follow-up, 54 % of patients with major depression recovered from the state. In the international comparison study, prevalence of major depression was 13 % in USA and 3 % in Israel. These suggests that mental health care in primary care should receive more attention among not only family physicians but also psychiatrists.A cohort study was carried out in order to determine whether Expressed Emotion (EE) of families was related to the course of schizophrenia. Subjects were 52 schizophrenic patients diagnosed according to the DSM-III-R.Families' EE was evaluated through Camberwell Family Interview by a certified rater. Nine-month relapse risk of patients who lived in high EE households was 58 %, significantly larger than in low EE households. The finding was true when controlling confounding factors, such as psychiatric symptoms in Brief Psychiatric Rating Scale (BPRS), drug compliance, and duration of the illness. In the two-year follow-up study, the finding was also observed. EE study is promising in developing community care for the mentally ill in Japan.A effective family psychosocial intervention for schizophrenia is required.

初级保健中的心理健康调查对初级保健中的抑郁症进行了问卷调查。受试者是302名在三天内访问初级保健诊所的患者。问卷由IDD诊断量表和达特茅斯COOP功能健康评定量表组成。在275例反应满意的患者中，根据精神疾病诊断与统计手册第三版修订版（DSM-III-R），重度抑郁症的患病率为6%，重度和轻度抑郁症的患病率均为13%。在6个月的随访中，54%的重度抑郁症患者从状态中恢复。在国际比较研究中，美国的抑郁症患病率为13%，以色列为3%.因此，家庭医生和精神科医生都应重视基层精神卫生保健工作。本研究采用队列研究的方法，探讨精神分裂症患者家属情绪表达（EE）与精神分裂症病程的关系。研究对象为52例符合DSM-III-R诊断标准的精神分裂症患者。生活在高EE家庭的患者的9个月复发风险为58%，显著高于低EE家庭。当控制混杂因素时，如简明精神病评定量表（BPRS）中的精神症状、药物依从性和疾病持续时间，这一发现是真实的。在两年的随访研究中，也观察到了这一发现。EE研究对日本精神病患者的社区护理具有重要的指导意义，需要对精神分裂症患者进行有效的家庭心理社会干预。